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\\text{CBR} = ?
The Crude Birth Rate (CBR) is calculated as:
\\text{CBR} = \\frac{\\text{Number of live births in a year}}{\\text{Mid-year total population}} \\times 1000
It is expressed per 1,000 population. Pakistan's CBR is approximately 26–28 per 1,000 population.
Comparison with other fertility measures:
- General Fertility Rate (GFR) uses women aged 15–49 as denominator
- Total Fertility Rate (TFR) is the average number of children a woman would have in her lifetime
- Option 3 is the formula for Crude Death Rate (CDR)
The PICO framework is the standard format for formulating clinical research questions in evidence-based practice:
| Letter | Component | Example |
|---|---|---|
| P | Patient / Population / Problem | Adult ICU patients with ventilator-associated pneumonia |
| I | Intervention | Oral chlorhexidine care every 4 hours |
| C | Comparison | Standard oral care (saline swabs) |
| O | Outcome | Reduction in VAP incidence rates |
Which of the following sentences is INCORRECTLY written?
Option B is incorrect because 'give' should be the past participle 'given' in a passive voice construction.
Differentiating high peak vs. high plateau pressure is critical:
| Finding | Cause | Problem |
|---|---|---|
| High Peak + Normal Plateau | Increased airway resistance | ETT kinking/obstruction, secretions, bronchospasm, biting the tube |
| High Peak + High Plateau | Decreased lung compliance | ARDS, pneumothorax, pulmonary edema, auto-PEEP |
Normal compliance \(\approx 50 - 100 \text{ mL/cmH}_2\text{O}\)
Nursing action for high peak, normal plateau:
- Suction the ETT for secretions
- Check for tube kinking or patient biting
- Administer bronchodilator if bronchospasm suspected
- Assess breath sounds bilaterally
If $2x = 3y = 4z = 20$, what is the value of $12xyz$?
From $2x = 20$: $x = 10$.
From $3y = 20$: $y = \dfrac{20}{3}$.
From $4z = 20$: $z = 5$.
Now compute $12xyz$:
$12 \times 10 \times \dfrac{20}{3} \times 5 = 12 \times \dfrac{1000}{3} = \dfrac{12000}{3} = 4{,}000$
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